VIJAYALAKSHMI MUKKAMALLA
NPI 1073883674
Internal Medicine in Rock Island, IL

Q: What is Vijayalakshmi Mukkamalla's NPI number?

The NPI number for Vijayalakshmi Mukkamalla is 1073883674. It was assigned to this individual provider in the NPPES registry on January 12, 2012.

Q: What is Vijayalakshmi Mukkamalla's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since January 12, 2012PECOS EnrolledAccepts Medicare Assignment

2701 17TH ST, ROCK ISLAND, IL 61201(309) 779-3101 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Vijayalakshmi Mukkamalla NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIJAYALAKSHMI MUKKAMALLA (NPI 1073883674) is an individual internal medicine provider in Rock Island, Illinois, licensed in Illinois (125059042) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, is affiliated with Trinity Rock Island, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1073883674

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameVIJAYALAKSHMI MUKKAMALLA

Location Address2701 17TH STRock Island, IL 61201-5351

Mailing Address2701 17th StreetRocki, IL 61201 · (309) 779-3101

Phone(309) 779-3101

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJanuary 12, 2012

Last NPPES UpdateJuly 21, 2022

✔ NPI 1073883674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 125059042

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2701 17TH ST, Rock Island, IL 61201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Vijayalakshmi Mukkamalla is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123241478

PECOS Enrollment IDI20140711000984, I20160224001139

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Vijayalakshmi Mukkamalla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Iowa Physicians Clinic Medical Foundation

25 mi

General Practice

1518 MULBERRY AVENUE
Muscatine, IA 52761

Reassigned Medicare billing, Iowa and Illinois enrollments
Also billed through NPI 1366425274 (Illinois)
1,506 clinicians in this Medicare group

NPI 1982831426 (515) 471-9300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

77 services33 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

42 services31 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

27 services27 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

26 services26 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Rock Island

Acute Care Hospitals · Rock Island, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140280

Location2701 17th StRock Island, IL 61201 · Rock Island County

Emergency services Birthing friendly

Trinity Muscatine

Acute Care Hospitals · Muscatine, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number160013

Location1518 Mulberry AvenueMuscatine, IA 52761 · Muscatine County

Emergency services

Trinity - Bettendorf

Acute Care Hospitals · Bettendorf, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160104

Location4500 Utica Ridge RoadBettendorf, IA 52722 · Scott County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. QUANG TUNG NGUYEN M.D.

Internal Medicine

2701 17TH ST, HOSPITALIST PROGRAM
ROCK ISLAND, IL 61201

Rock Island County (309) 779-3100

ARTHESIAN TILLERY

Counselor